Acting Administrator Jason Gray Meets with the Prime Minister of the Republic of Yemen Dr. Ahmad Bin Mubarak

Source: USAID

The below is attributable to Acting Spokesperson Shejal Pulivarti:‎

Today, Acting Administrator Jason Gray met with the Prime Minister of the Republic of Yemen Dr. Ahmad Bin Mubarak. The two discussed the ongoing situation in Yemen, Houthi provocations in the Red Sea, and continued detention of humanitarian, international non-governmental organization, and diplomatic staff. The Acting Administrator commended PM Bin Mubarak’s ongoing efforts to shore up the banking sector in Yemen. The Acting Administrator reinforced the value of the Republic of Yemen government’s relationship with the United States, and that a stable government is essential for the security and prosperity of Yemen.

Four Years of Progress at USAID – Sharing Our Exit Memo

Source: USAID

Serving as USAID Administrator has been the privilege of a lifetime. As the Biden-Harris Administration comes to a close, I am pleased to share an Exit Memo capturing some of USAID’s key accomplishments over the past four years.

This Memo chronicles how, in an era of strategic competition and transnational challenges, we’ve worked together to transform USAID into a more responsive, efficient, and catalytic Agency. It describes how we’ve evolved to partner far more closely and often with the private sector, navigate rapidly changing digital technologies, counter the threats posed by the People’s Republic of China’s approach to development, and more – all while responding to a series of crises, from historic natural disasters to devastating conflicts.

Despite continuing challenges around the world, I am leaving this role enormously hopeful about the future of USAID and the work – and the stories in these pages will show you why.

Remembering Martin Luther King, Jr.’s Call for Abiding, Audacious Faith in the Future of Mankind

Source: USAID

This coming Martin Luther King, Jr. Day will coincide with our country’s most important ritual: the peaceful transition of power from one president to the next. At noon, a new Administration will be tasked with tackling significant challenges, many of which threaten the ideals of justice, freedom, and human dignity that Dr. King fought for. 

When he accepted the Nobel Peace Prize in 1964, Dr. King proclaimed: “I accept this award today with an abiding faith in America and an audacious faith in the future of mankind. I refuse to accept despair as the final response to the ambiguities of history.”

Today, we remember those words and draw strength from them as we find our own abiding and audacious faith in the future. 

Our faith must be abiding because the kind of work we do at USAID inevitably takes time and comes with setbacks. When you’re taking on hunger, disease, poverty, oppression, and conflict, progress doesn’t come easily or all at once. It requires deep-seated belief in the impact and importance of the small differences we make every day. The trajectory of development progress in the past half-century has proven that over time, these small steps can lead to massive improvements in people’s lives. 

We must also be audacious, because quickly evolving challenges require quickly evolving solutions. And over the past few years, I have been amazed by the people across our teams who, on issue after issue, manage to pioneer new ideas to meet the moment, transforming the way we work at USAID to make us more responsive, more efficient, and more catalytic in everything we do, and securing lasting results for communities around the world. I hope you will continue to find the audacity to cast aside “the way it has always been done” and strive for even more substantial and enduring progress across our work. 

This coming Monday, let all of us remember Dr. King’s example and renew our faith in the possibility of a more just, peaceful, and prosperous world.

Administrator Samantha Power with NBC’s Andrea Mitchell

Source: USAID

Watch Here

ANDREA MITCHELL: The Gaza ceasefire and hostage deal, if it holds, is going to allow for a surge in desperately needed aid, aid to Gaza, where there is Famine, near Famine conditions, a lack of medicine, water, fuel, shelter, doctors. Joining me now, USAID Administrator Samantha Power, who was the former UN Ambassador from the United States.

Thank you so much for everything you’ve done. There’s been a lot of news today with everything changing on Capitol Hill, but let’s quickly get to the humanitarian aid for the Palestinians in Gaza. If and when this goes into effect, do you think that some of the barriers that, frankly, that Israel has put up along the borders and the closures can be eliminated, we can get more truckloads in and move it quickly?

ADMINISTRATOR SAMANTHA POWER: Thank you, Andrea, and thanks for all the attention you have paid to the humanitarian situation in Gaza from the beginning. The short answer is yes, we really hope to be able to surge humanitarian assistance. We have sent a team from Washington to the region. They’re working through the modalities of how many more checkpoints can be open at one time, how the hours can be extended, where the trucks can be sourced from. 

We have had stockpiles in the region for a long time that we have been trying to push in. The end of conflict is going to make a profound difference. I mean, just in terms of the ability to move from north to south in Gaza, which has been severely impeded, the ability to reach people in northern Gaza who are surely the worse off of any of the hungry civilians. 

Obviously, shelter is still a huge issue, getting winterization supplies in. Only 20 or 30 percent of the things that we thought were needed for winter have reached civilians who are mainly living kind of out away from homes given all of the destruction that has occurred. So we’ve got to take advantage of this, and I think we’re well positioned to do so. But we also need more resources to be mobilized. If we can bring up the number of trucks that are going in, we’re going to want there to be a consistent, steady pipeline. And the next Administration, of course, has been absolutely pivotal in helping secure this ceasefire, and we’re hoping in the implementation and in the humanitarian emergency assistance, but also in the reconstruction phase that will come later, but they will also be deeply engaged.

MS. MITCHELL: And you’ve traveled all over the world, endlessly and dealing with all these disasters. But I just want to leave this on a positive note. You’ve also managed to make sport diplomacy part of your regimen in 50 countries, playing rugby, baseball, trying to bridge divides. How important is that?

ADMINISTRATOR POWER: Well, I think it just comes down to meeting people where they are. I think USAID is America’s ground game in our foreign policy. We show that our model is different from that of the PRC. We give grants, not loans. We’re out there in communities actually listening to young people to find out what their aspirations are, to tailor our programming in digital, in education, in agriculture, you name it. And so, getting out there and meeting young people on their terms, there’s nothing quite like the equalizer of getting schooled by a 12-year-old in soccer or in cricket, or by a 17-year-old in basketball. And so, that kind of opens up a space for a different kind of engagement, and to show America, that what we do is on behalf of the American people.

MS. MITCHELL: Samantha Power, thank you for your service. Thanks for all you do, really appreciate it. 

ADMINISTRATOR POWER: Thank you, Andrea.

Sanctions Against Sudanese Armed Forces Leader

Source: USAID

Twenty-one months of brutal conflict between the Sudanese Armed Forces (SAF) and Rapid Support Forces (RSF) has created the world’s largest humanitarian crisis. Half of Sudan’s population – approximately 25 million people – are enduring acute food insecurity, and at least 638,000 people are living in Famine conditions. Last week, Secretary of State Antony Blinken determined that the RSF is responsible for Genocide.

Today, Secretary Blinken announced sanctions against Abdel Fattah Al-Burhan, the leader of the SAF and head of Sudan’s Sovereignty Council, for his responsibility for crimes committed against the people of Sudan, including lethal attacks on civilians and civilian infrastructure like schools and hospitals. Secretary Blinken also announced sanctions against one company and one individual involved in weapons procurement for the SAF. The United States continues to demand that the SAF and RSF pursue a negotiated end to the fighting that puts Sudan back on the path to civilian-led government, and bring to a close this latest painful chapter in Sudan’s history.

We call on all parties to the conflict to enable full and meaningful humanitarian access so that international and local aid workers can deliver lifesaving assistance to desperate civilians and prevent the further spread of Famine.

Statement by Administrator Samantha Power On the Ceasefire in Gaza and Return of Hostages

Source: USAID

USAID welcomes the announcement of a ceasefire in Gaza. This ceasefire, which was a direct result of extensive U.S. diplomacy with our partners in the region, will begin the process of reuniting hostages with families that have been torn apart, and will begin to provide relief to the Palestinian civilians who have suffered immensely over the course of this brutal conflict. 

As the ceasefire is implemented, USAID will continue to prioritize efforts to get life-saving humanitarian assistance to those impacted by this devastating war. More than 2.1 million Palestinian civilians require urgent assistance – including nearly 1.9 million who have been displaced. An immediate and sustained surge in humanitarian assistance across Gaza will be essential to prevent further hunger, sickness, and death. 

The United States has provided nearly $1.2 billion in humanitarian assistance to Palestinians in Gaza, the West Bank, and neighboring countries since the start of the war. We are profoundly grateful to our humanitarian partners, who have taken on great personal risk throughout this conflict – the deadliest in history for aid workers – to alleviate suffering and save lives. Their work will continue – and we will seek to expand it significantly – thanks to the ceasefire deal. The U.S. government will work with the UN, the Government of Israel, and our partners in the region to improve conditions for the delivery of humanitarian assistance and to support regular, safe, and facilitated movement for humanitarian actors. Addressing the criminal looting of relief supplies and the breakdown of law and order that has worsened an already dangerous and uncertain operating environment will also remain critically important.

This is a moment of enormous possibility, and as President Biden said, the United States is committed to making the most of it – by surging life-saving assistance to those in need throughout Gaza, and by working not just to end the war, but to build a just and enduring peace for the Palestinian and Israeli people.

USAID Releases Economic Growth and Trade Policy

Source: USAID

Today, USAID released its Economic Growth and Trade Policy, which affirms and renews the Agency’s commitment to fostering economic resilience and inclusive growth, while addressing critical global challenges to support our shared economic future. This new Policy will help strengthen economic resilience abroad while creating opportunities for American businesses and bolstering U.S. economic security.

Economic growth and trade are critical to addressing the world’s pressing development and economic security challenges. However, unsustainable debt, slowing investment, supply chain disruptions, unfair trade practices, and economic coercion threaten development progress and global stability. The Economic Growth and Trade Policy offers a strategic roadmap to confront these challenges, positioning USAID to act quickly and effectively in the face of emerging economic issues.

The Policy focuses on three overarching goals:

  • Sustainable economic development: Ensuring growth strengthens a country’s ability to meet its development goals, without taking on excessive debt or depleting natural resources; 
  • Resilience to economic crises: Strengthening economies to withstand and quickly recover from negative shocks; and 
  • Improved inclusive economic opportunities: Driving equitable distribution of economic benefits.

Underpinning these goals are five programming principles: expanding strategic partnerships, prioritizing systemic change, measuring and evaluating impact, using a cross-sectoral approach, and advancing U.S. strategic and economic priorities.

To learn more about USAID’s Economic Growth and Trade Policy, please visit: https://www.usaid.gov/policy/economic-growth.

USAID Releases 2024 Localization Progress Report

Source: USAID

USAID reached new highs in our progress toward our commitment to put local actors in the lead, strengthen local systems, and be more responsive to local communities, according to a new report released today. The report, Growing Momentum: USAID Localization Progress Report, FY 2024, is the third annual update on USAID’s progress toward two Agency-wide localization targets set in November 2021 aimed at increasing the amount of direct funding to local organizations and increasing local leadership over program design, implementation, and measurement. 

The report shows that USAID provided $2.1 billion directly to local non-governmental, private sector and government partners, or 12.1 percent of USAID’s acquisitions and assistance (A&A) and government-to-government (G2G) funding. Of this, $1.9 billion went to local non-governmental or private sector partners through A&A partnerships – double the level of FY 2021 and 11 percent of all A&A funding) – and $169 million went to partner country governments through G2G partnerships. An additional $88 million went to regional partners. Both the number of new awards to local and regional partners and the number of unique local and regional partners also reached new highs in FY 2024, increasing by 87 percent and 48 percent, respectively, since FY 2021. 

In FY 2024, USAID captured for the first time the extent to which its programs took steps to elevate local leadership across the project lifecycle of design; implementation; and monitoring, evaluation, and learning. The new Locally Led Programs indicator tracks the use of a set of 10 “good practices” for local leadership, and USAID found that, in FY 2024, 35 percent of all qualifying USAID activities met the criteria for this indicator, utilizing at least one good practice in each of the three phases of the project lifecycle. But over three quarters of activities used at least one of the ten good practices for local leadership.

As localization at USAID is fundamentally a reform effort, not just a set of targets, the report also details a range of actions the Agency has undertaken over the past year-plus to support current and future progress. These include steps to strengthen the policy foundation, incorporate locally led development and humanitarian assistance into strategic planning, lower barriers for local organizations to partner with USAID, support staff to elevate local leadership in programming, invest in staff and align staff incentives in support of localization goals, and champion locally led approaches in the broader development and humanitarian communities. 

In the spirit of transparency, USAID has also published the underlying data for the direct local, G2G, and regional funding analysis presented in the report.

Administrator Samantha Power at a Swearing-in Ceremony for John Allelo as Mission Director for Moldova

Source: USAID

ADMINISTRATOR SAMANTHA POWER: Thank you, Jim [Hope]. You’re a great person to have in a leadership role, from the standpoint of people in the field, because you have given so much in the field, most recently, of course, in Ukraine. But I think again, at the helm, someone who has all that experience gives our incoming Mission Directors, our long standing Mission Directors, great comfort in knowing you know what they’re going through. And from your time in Ukraine, of course, you know uniquely what Moldova is being subjected to, as well, in the way of Russian interference and a different kind of aggression, to be sure, but but outright aggression as well. 

I also want to thank Erin McKee, who told us that her last day was yesterday, but then, was it yesterday? Or was it, yes, it was yesterday but we see her dedication even now, as she’s beaming in to celebrate this milestone with John at home. No more USAID banners behind her. But I think you and I both will just have imprinted, sort of, “USAID” on us – you, especially, having given so much of your career to this incredible Agency. So Erin, thanks for beaming in –  really, really grateful. 

Grateful as well to have you, Chargé [Daniela] DiPierro with us, and to have your leadership. This is a tough time, of course, in transition, and the leadership of you and the team at such, our transition here in the U.S. kind of coincides, as you said, at a particularly important time in Moldova’s own history. But we are in great, great hands with you as a leader who really gets what this moment represents, and I know will continue to advocate fiercely on behalf of the U.S.-Moldovan partnership, which has thickened in dramatic ways over the last several years, but also on behalf of the Moldovan people and what we can do in support of them. 

John, I’m going to get to you here in a second, but I want to give a special welcome to your older brother, David, and David’s wife, Susan, who are here with us on the screen. They have been key supporters of John throughout his career. And of course, I welcome all of John’s family and friends who are tuning in from all over the world. I will reinforce Jim Hope’s plea that you turn your cameras on so that we can all see your faces, bandwidth permitting. But that’s a nice aspect of these virtual occasions where you can actually see people beaming in from all over. 

So it is a pleasure today to swear John in as our incoming Mission Director in Moldova. Special thanks to John for accommodating the request to take this, to pick up this post a little bit early. Those of you who know John know that he’s meticulously organized and a person who does really careful planning. So spontaneity is not really, you know, his thing, but that’s how mission driven he is. It’s a sacrifice, but not one he hesitated to take up because he knows what this moment means in Moldova’s trajectory. 

Today is my last swearing-in, I think, at USAID, unless something strange happens between now and Monday. And I find it very fitting that it is to swear in our new Mission Director in Moldova, a country that I had never visited before I got into this role, but that has become incredibly important to me as I’ve gotten to know the Moldovan people and the risks that they are taking to secure their democracy, their economy, and their independence. And so, hello to everybody there at the Embassy. Thank you for everything you’ve done. I’ll come back to you toward the end of my remarks about John, but you have just done an incredible job, just truly, making this a very attractive position for someone of John’s fiber and fortitude. 

I last swore John in three years ago to become Mission Director in Armenia, so I will try to keep today’s remarks a little more brief, but I do want to share a little more about the remarkable person that John is and why he is the ideal USAID Foreign Service Officer to take the helm of our Moldova Mission at this critical moment. 

John grew up in the small town of Patterson, Louisiana. His older brother David reports that John was always a more intellectual sibling, thriving in speech and debate, serving as editor of the yearbook, and graduating tied for class valedictorian. I bet that whoever you tied with is not being sworn in to be a Mission Director someplace, John, so I think you’re I think you’re way ahead in the life competition. 

After getting a degree in finance from Louisiana State University and a law degree from Tulane, John began practicing as an attorney and as a mediator. But 15 years in, he found himself hankering, as he phrased it, to spend a little less time arguing with judges and other lawyers, and a little more time making the greatest possible impact on people’s lives. 

So John found an opportunity to take on a year of pro bono work in Bulgaria. He trained local legal workers in mediation and legal ethics, he collaborated with Bulgaria’s judicial institutions to shape legislation, and he participated in an independent assessment of judicial reform efforts. 

And it turns out that all of his work was funded by USAID. So John was hooked. He saw the power that this Agency could have, and the impact that it could have. He took up a position as a rule of law advisor for USAID/Bulgaria, focusing on democracy and governance, notably assisting the Bulgarian government in adjusting its legal and judicial structures to meet EU standards for the accession that they hoped would follow. And indeed, just two months after John left the country in January 2007, Bulgaria was formally accepted into the EU. This is exactly what Moldova is hoping for itself, John, that same trajectory and quick turnaround. I know it might take a little bit longer, but that is, of course, the path that the Moldova people have chosen for themselves. 

John then moved on to Kosovo at a critical moment: the country was declaring its independence. He got the opportunity again to put his legal expertise to helping draft, as you heard, the new country’s constitution. John applied his knowledge to helping the newly independent nation get its legal, judicial and governmental institutions up and running. 

John went on to apply his experience in helping nascent governments establish their institutions in South Sudan. Again, John was present at the moment the country declared its independence, and offered up his legal expertise to help the newly liberated republic attempt to transition into stable independence. That has been very challenging, of course, for the country. 

John went on to duty tours in Colombia, Pakistan, and Bangladesh, all while stepping into increasingly consequential leadership roles. In Bangladesh, where he took up his first post as Deputy Mission Director, one of his greatest professional achievements was overseeing U.S. government assistance to a million Rohingya refugees, a feat made even more challenging because of the pandemic, of course, the COVID pandemic. 

In May 2021, John returned to the European continent to take up his first post as Mission Director for USAID Armenia. This was his first Mission Director assignment, and he thrived. He arrived in the country just as Armenia was experiencing a massive moment of opportunity. The people were stepping up to rally for change; to try to build a more representative, transparent, and responsive government; and to try to grow their economy by building productive trade relationships beyond their traditional partners. 

Under John’s leadership, USAID has sprung into action to turn that opening, that opportunity, into reality. We welcomed Armenia into our Democracy Delivers Initiative, which Moldova, of course, is also a part of. This is a flagship initiative that supports countries where citizens have pushed for reform, and where the citizens have taken big bets on democracy, and where the reformers need to show that democracy delivers for citizens’ most important needs. In Armenia, we partnered with leaders to strengthen anti-corruption efforts to empower independent journalists and media outlets that can hold the government accountable, to streamline and modernize the provision of government services, to cut down the bureaucracy, and to support economic growth. All told, we have increased our funding to Armenia by 75 percent since the Velvet Revolution, not least because John was such a fierce advocate on behalf of what was happening on the ground there. 

In September 2023, over 100,000 ethnic Armenians fled to Armenia from Nagorno-Karabakh. Under John’s leadership, the Armenia Mission quickly redirected $4 million in existing funding to provide urgent surge support to the incoming displaced persons. That work is ongoing, and, of course, incredibly important for people who have suffered so much to get the support they need to integrate, if that is what they choose. This was a period of intense stress and pressure from all sides. John and his team worked early mornings and late nights. They hosted what I’m sure felt like an endless string of high level visits – including for me, twice. They worked with communities across Armenia and the Armenian government to harness limited resources to respond to urgent, critical needs. 

Even as John was leading this Mission through a crisis that affected all of our staff in deep, emotional ways, given the suffering of incoming people from Nagorno-Karabakh, John never let go of his humanity. His colleagues remember him as someone who prioritized people and relationships every step of the way. One colleague remembers, “He’s the kind of leader that is detail-focused from the top to the bottom. He thinks of everything from the strategic objectives at a high level to simple matters, like, ‘Do you have enough local currency? Do you need a snack?’” The FSN [Foreign Service National] who offered this reflection on John reflected further, “I’ve been with USAID for 24 years. John is the best of the best.”  

When the time came for John to leave Armenia, people rallied in epic fashion to celebrate his contributions. More than 300 people RSVPed yes to his going away party, and even more people showed up. They too came early and stayed late, and they formed a line, which included ministers, Ambassadors and Mission colleagues alike, waiting to take pictures with John. One of John’s closest colleagues remarked, “It was like being with Snoop Dogg.” That is often the analogy that people use when they think of John; they think of Snoop Dogg. But that, in truth, is the rockstar quality that John brought as he worked the room and basked in the deep friendships that he’d built over his nearly four years in Armenia. 

Now, John takes on a new and incredibly meaningful assignment. This will be his last assignment in the Foreign Service, as he plans to retire upon its completion. This is a full circle moment for John, who will mark the beginning and end of his Foreign Service career in Eastern Europe. Like Armenia, Moldova is experiencing a moment of tremendous opportunity, taking on absolutely critical democratic reforms like fighting corruption, streamlining bureaucratic processes, and safeguarding free and fair elections. These reforms, unsurprisingly, have brought about massive pushback from Russia, massive interference. We saw this play out in Moldova’s recent last election, as the Kremlin mounted a full-scale campaign of lies and disinformation against President [Maia] Sandu in an effort to oust her and replace her with a pro-Russian autocrat. But Russia did not prevail. The Moldovan people voted for Sandu and made a clear choice for the pro-EU path.

Now is time for us to deepen our partnership still further, and make sure that the Moldovan people see results, and that is exactly what John does best. With John at the helm, we will continue to support Moldova’s extraordinary charge toward democratic reform, transparency, and accountability, especially in the judicial system; energy independence, at a time of such difficulty with getting access to affordable energy; economic growth and reorientation toward Western markets in support of Moldova’s goal of joining the EU. John has spent a career supporting communities around the world in their efforts to determine their own futures, and that is exactly the mission and the support in Moldova today. With John’s deep expertise in this work and this region, and his proven ability to connect with others, to build trust, and to get the job done, there could be no better person to step into this role at this absolutely pivotal inflection point for Moldova. 

Now, let me just offer a last aside, John to you, as you get to know people around you at the USAID Moldova Mission: I have gotten to know the Moldovan team better than I have gotten to know most Missions around the world, although I wish I could have visited even more often. But let me just tell you, this team rocks. This is an incredible team of stalwart Foreign Service Nationals who have worked for the Mission for many years, in many cases – although we’ve had to grow our team, taking on so much new programming and so many new initiatives; our Foreign Service officers and others who have joined USAID Mission; but this team together, again, guided by our Foreign Service Nationals, who know the country best and know that these opportunities are so fleeting, these reform openings so fleeting. 

They’ve lived the alternative, and they do not want to go back, and they have the commitment, the insight, the hustle, to have secured a profound impact on the ground. So, you know this already – you had an incredible team in Armenia that you got to work with – I am telling you every day working with that team in Moldova is going to be a pleasure and a privilege, and their ambition grows bigger every time I hear from them, and I’m sure that is a spirit and an ambition that you will only seek to inculcate and to expand. So this is a match made in heaven.

I wish you luck, and it is now my great pleasure to swear in John Allelo, as USAID’s Mission Director for Moldova.

Assistant Administrator Atul Gawande on America’s Global Health Edge: How USAID Is Redefining The Way To Secure A Healthier World

Source: USAID

We’re coming to the end of my time at USAID, and I want to use this opportunity to say thank you. I have been constantly reminded of a proverb I heard in Nigeria on my first TDY: “If you want to go fast, go alone. If you want to go far, go together.” We have gone together. And because of that we have gone far. 

I will miss you and this agency dearly. I tell people who ask what I do, “I have the best health job in government that you’ve never heard of.” 

USAID has given me a chance for impact on a scale I never imagined. Our mission is to help low- and middle-income countries address their leading causes of premature death and disability and combat emerging disease threats for the US and the world. And to do so, our bureau has 900 people in D.C., working alongside 1,600 plus staff in over 65 countries, deploying $10 billion a year in foreign assistance for health. I’ll remind you of the vision statement we created together: “We are an inclusive, agile, and innovative team, co-investing resources and expertise with communities and countries to advance the equitable delivery of sustainable public health approaches, improving lives everywhere.”

When USAID was founded in 1961, that meant priorities like fighting smallpox, a disease that claimed half a billion lives in the prior century, and reducing child mortality – deaths in children under five accounted for half of all deaths in Africa and Asia. By the time of President Biden’s inauguration 60 years later, the challenges had evolved. Smallpox had been eradicated. Child deaths were cut 80 percent. Twenty-five years had been added to the average person’s life.

But in low income countries, almost two-thirds of deaths still occur before the age of 50. And we now faced a pandemic that had caused the first global drop in life expectancy in 70 years and would claim 15 million lives. Turning COVID-19 into a manageable respiratory illness was, necessarily, our top priority. Working with other U.S. agencies and partners around the world, we distributed nearly 700 million vaccines to 120 plus countries, built global oxygen capacity, and took other critical steps in turning the tide. 

New, shape-shifting pathogens are also emerging with increasing frequency. And in our tightly connected world, they can spread anywhere in hours. So we built out a network of 50 plus countries on every continent, developing what I’ve called the world’s immune system – an ever-accelerating capacity to prevent, detect, and more rapidly respond to pandemic threats. Internally, we built a dedicated Global Health Emergency Management System, including an Outbreak Response Team that now tracks thousands of outbreak notifications in human and animal populations. Over the last four years, our teams mobilized critical assistance to contain 21 major outbreaks around the world, including 11 involving deadly viral hemorrhagic fevers and two global mpox emergencies. And we’ve seen faster and faster results.

Equally vital has been our long-term work to address the leading causes of premature death and disability – such as HIV, TB, malaria, vaccine-preventable diseases like measles and polio, and unsafe childbirth, lack of contraception, and malnutrition. Progress had stalled in many places, even before the pandemic hit. But we saw that nations that invested in robust primary health care systems performed notably better. 

For example, Thailand’s implementation of universal primary health care in 2002 accelerated its progress on nearly all health indicators and halved its rate of deaths before 50. They’ve freed themselves from dependency. And their life expectancy has now passed the United States’– all with total health spending of just $305 per person in a year. We found similar outliers on every continent performing far above their income by prioritizing primary care. So that’s where we focused. 

We launched USAID’s Primary Impact initiative, which makes sure our disease-focused programs enable countries’ plans for local primary care systems. We created the Community Health Delivery Partnership to coordinate others, including donors, CSOs, and implementing countries, to do the same. We won the support of Congress to invest $10 million in global health workforce development. And we joined the board of the World Bank’s Global Financing Facility to drive more domestic and international investment into primary care. It has emerged as a groundbreaking body of effort.

The joy of this work often feels, to my surprise, like the joy I have found in surgery. You face new, life-threatening situations everyday – in surgery, it might be a cancer or a knife wound; in global health it might be a cluster of deaths from an unidentified virus in central Africa, a request to support Ukraine’s health system after Russia’s attack on Kyiv, or data showing a dangerous fall off in results from a partnership to reduce TB deaths in India. Your knowledge is always imperfect, the risks significant, and yet action is required. You can also see daily evidence of immediate, tangible benefit. Mortality rates in USAID-supported countries drop consistently faster than comparison populations in published research. 

Here are specific examples. For children under five in African countries with sustained health sector support since 2000, the benefit translates into six extra years of life versus controls, according to our analyses; women of childbearing age gained four extra years of life. During just the last three years, we helped our partner countries reduce deaths before age 50 – our overall metric for premature mortality – to below pre-pandemic levels, saving 1.2 million lives. 

Then add the impact of our leadership and support for global health institutions, such as the World Health Organization, the Global Fund to Fight AIDS, TB, and Malaria, and the global vaccine alliance, Gavi. For example, one of the high points of my experience has been serving on the Gavi board. We’ve helped position Gavi to accelerate vaccines to half a billion children in the next five years. That alone will save another eight million lives.

We know how meaningful this work is not only from its impact, but also from how it is being targeted by foreign propaganda campaigns. Last month, Administrator Power gave a speech where she discussed scores of examples. For instance, over the past year, Russia’s intelligence services have backed a new information agency called African Initiative. This agency runs a website and social media accounts that consistently attack U.S. health programs across the continent of Africa. It repeatedly publishes baseless claims that our programs are covertly carrying out nefarious biological testing on African communities. As Power noted, the propaganda reveals how America’s competitors understand the enormous power of our work – how our work increases US standing, strengthens alliances, and strengthens our security in an age when so many of the biggest security threats we face, like emerging pathogens, transcend borders.

Our ultimate test will be the test of time. Sustaining our impact means investing in the slow, steady work of building local leadership and systems – of going far by truly going together. Global Health led the Agency in localizing our funding. During my tenure, we went from putting just 14 percent of our funding through local organizations and governments to reaching 30 percent in 2025. The TB program has exceeded 45 percent. Our HIV program is over 65 percent. Unlike other agencies, we have also focused on developing foreign service nationals as our experts on our teams around the world rather than flying them in. FSNs make up 70 percent of USAID’s mission workforce, and we’ve substantially increased the number in leadership positions. 

These ambitions are necessarily long range. We launched our partnership to eliminate poisoning by lead – a neglected neurotoxin affecting 1 in 3 children globally and causing more deaths than any infectious disease. Our target date? 2040. Some of the goals we set are so long-range we will likely not live to see them completed. Like enabling community-based primary care that is as universal and self-sustaining as roads and a high school education. These efforts, nonetheless, are the ones I am proudest of. 

There’s one more way USAID is redefining how we secure a healthier future. That is in how our teams define our true expertise in health. It is not in how to stop this or that disease or health threat – though we and other US agencies have that expertise. USAID is a development agency. Our essential and unique strength is being experts in how countries and global institutions develop their systems for delivering health solutions in communities. 

Health systems can seem abstract. But they are personified by the people who do the work of delivering health care to communities. So our critical expertise is in how countries currently finance, support, and develop their health workforce and in how our and others’ investments can most effectively advance countries’ plans and abilities for that workforce to deliver and sustain a healthier future. I’m delighted to see the release of our Policy for Global Health Development today, laying out how we build and operationalize that expertise.

There are so many opportunities for leaps forward in our programs and initiatives. But if we remember who we are and how we’ve redefined the work of global health, nothing will stop this agency’s impact. 

Let me close by saying, again, thank you – for going together with me these last few years – for going so far.